NPI 1174692198

Johnny Michael Jones, PAC

Practitioner Specialist Anacortes, WA

Practice location

Address: 715 Seafarers Way STE 201 B, Anacortes, WA 98221-2257
Phone: (360) 588-1460
Fax: (360) 588-1473
Mailing address: PO Box 1048, Anacortes, WA 98221-1048

Registered specialties (2)

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence PA10004470 (WA)

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Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 10004470 (WA)

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Registry record

NPI: 1174692198
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Nov 2006
Record last updated: 1 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.